| NPI | 1558826461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001136) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 777823) |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-05-13 |